Download Psychology exam 2025 3 test bank (190 Questions and Answers) and more Exams Psychology in PDF only on Docsity!
Psychology exam 2025 3 test bank (
Questions and Answers)
A health care provider recently convicted of Medicare fraud says to a nurse, Sure I overbilled. Everyone takes advantage of the government. There are too many rules to follow and I should get the money. These statements show: shame. c.superficial remorse. b.suspiciousness. d.lack of guilt feelings. - Correct answer D Which intervention is appropriate for an individual diagnosed with an antisocial personality disorder who frequently manipulates others? a.Refer requests and questions related to care to the case manager. b.Encourage the patient to discuss feelings of fear and inferiority. c.Provide negative reinforcement for acting-out behavior. d.Ignore, rather than confront, inappropriate behavior. - Correct answer a As a nurse prepares to administer medication to a patient diagnosed with a borderline personality disorder, the patient says, Just leave it on the table. Ill take it when I finish combing my hair. What is the nurses best response? a.Reinforce this assertive action by the patient. Leave the medication on the table as requested. b.Respond to the patient, Im worried that you might not take it. Ill come back later.
c.Say to the patient, I must watch you take the medication. Please take it now. d. Ask the patient, Why dont you want to take your medication now? - Correct answer c What is an appropriate initial outcome for a patient diagnosed with a personality disorder who frequently manipulates others? The patient will: a.identify when feeling angry. b.use manipulation only to get legitimate needs met. c.acknowledge manipulative behavior when it is called to his or her attention. d.accept fulfillment of his or her requests within an hour rather than immediately. - Correct answer c Consider this comment to three different nurses by a patient diagnosed with an antisocial personality disorder, Another nurse said you dont do your job right. Collectively, these interactions can be assessed as: a.seductive. c.manipulative. b.detached. d.guilt-producing. - Correct answer c A nurse reports to the treatment team that a patient diagnosed with an antisocial personality disorder has displayed the behaviors below. This patient is detached and superficial during counseling sessions. Which behavior by the patient most clearly warrants limit setting? a.Flattering the nurse b.Lying to other patients
d.Ineffective denial - Correct answer a When a patient diagnosed with a personality disorder uses manipulation to get needs met, the staff applies limit-setting interventions. What is the correct rationale for this action? a. It provides an outlet for feelings of anger and frustration. b. It respects the patients wishes, so assertiveness will develop. c. External controls are necessary due to failure of internal control. d. Anxiety is reduced when staff assumes responsibility for the patients behavior. - Correct answer c One month ago, a patient diagnosed with borderline personality disorder and a history of self-mutilation began dialectical behavior therapy. Today the patient phones to say, I feel empty and want to hurt myself. The nurse should: a. arrange for emergency inpatient hospitalization. b. send the patient to the crisis intervention unit for 8 to 12 hours. c. assist the patient to choose coping strategies for triggering situations.
d. advise the patient to take an anti-anxiety medication to decrease the anxiety level. - Correct answer c What is the most challenging nursing intervention with patients diagnosed with personality disorders who use manipulation? a. Supporting behavioral change c. Monitoring suicide attempts b. Maintaining consistent limits d. Using aversive therapy - Correct answer b The history shows that a newly admitted patient is impulsive. The nurse would expect behavior characterized by: a. adherence to a strict moral code. b. manipulative, controlling strategies. c. acting without thought on urges or desires.
d. Powerlessness - Correct answer a Which statement made by a patient diagnosed with borderline personality disorder indicates the treatment plan is effective? a. I think you are the best nurse on the unit. b. Im never going to get high on drugs again. c. I felt empty and wanted to hurt myself, so I called you. d. I hate my mother. I called her today, and she wasnt home. - Correct answer c When preparing to interview a patient diagnosed with narcissistic personality disorder, a nurse can anticipate the assessment findings will include: a. preoccupation with minute details; perfectionist. b. charm, drama, seductiveness; seeking admiration. c. difficulty being alone; indecisive, submissiveness.
d. grandiosity, self-importance, and a sense of entitlement. - Correct answer d For which behavior would limit setting be most essential? The patient who: a. clings to the nurse and asks for advice about inconsequential matters. b. is flirtatious and provocative with staff members of the opposite sex. c. is hypervigilant and refuses to attend unit activities. d. urges a suspicious patient to hit anyone who stares. - Correct answer d The nurse caring for an individual demonstrating symptoms of schizotypal personality disorder would expect assessment findings to include: a. arrogant, grandiose, and a sense of self-importance. b. attention seeking, melodramatic, and flirtatious. c. impulsive, restless, socially aggressive behavior. d.
A patient diagnosed with borderline personality disorder self-inflicted wrist lacerations after gaining new privileges on the unit. In this case, the self- mutilation may have been due to: a. an inherited disorder that manifests itself as an incapacity to tolerate stress. b. use of projective identification and splitting to bring anxiety to manageable levels. c. a constitutional inability to regulate affect, predisposing to psychic disorganization. d. fear of abandonment associated with progress toward autonomy and independence. - Correct answer d A patient diagnosed with borderline personality disorder has self-inflicted wrist lacerations. The health care provider prescribes daily dressing changes. The nurse performing this care should: a. maintain a stern and authoritarian affect. b. provide care in a matter-of-fact manner. c. encourage the patient to express anger.
d. be very rigid and challenging. - Correct answer b A nurse set limits while interacting with a patient demonstrating behaviors associated with borderline personality disorder. The patient tells the nurse, You used to care about me. I thought you were wonderful. Now I can see I was wrong. Youre evil. This outburst can be assessed as: a. denial. c. defensive. b. splitting. d. reaction formation. - Correct answer b Which characteristic of personality disorders makes it most necessary for staff to schedule frequent team meetings in order to address the patients needs and maintain a therapeutic milieu? a. Ability to achieve true intimacy b. Flexibility and adaptability to stress c. Ability to provoke interpersonal conflict
d. Schizotypal personality disorder causes more frequent and more prolonged hospitalizations than schizophrenia. - Correct answer c Personality traits most likely to be documented regarding a patient demonstrating characteristics of an obsessive-compulsive personality disorder are: a. affable, generous. c. suspicious, holds grudges. b. perfectionist, inflexible. d. dramatic speech, impulsive. - Correct answer b A nurse determines desired outcomes for a patient diagnosed with schizotypal personality disorder. Select the best outcome. The patient will: a. adhere willingly to unit norms. b. report decreased incidence of self-mutilative thoughts. c. demonstrate fewer attempts at splitting or manipulating staff.
d. demonstrate ability to introduce self to a stranger in a social situation. - Correct answer d A patient says, The other nurses wont give me my medication early, but you know what its like to be in pain and dont let your patients suffer. Could you get me my pill now? I wont tell anyone. Which response by the nurse would be most therapeutic? a. Im not comfortable doing that, and then ignore subsequent requests for early medication. b. I understand that you have pain, but giving medicine too soon would not be safe. c. Ill have to check with your doctor about that; I will get back to you after I do. d. It would be unsafe to give the medicine early; none of us will do that. - Correct answer b A nurse plans care for an individual diagnosed with antisocial personality disorder. Which characteristic behaviors will the nurse expect? Select all that apply. a. Reclusive behavior b.
An older adult patient takes multiple medications daily. Over 2 days, the patient developed confusion, slurred speech, an unsteady gait, and fluctuating levels of orientation. These findings are most characteristic of: a. delirium. c. amnestic syndrome. b. dementia. d. Alzheimers disease. - Correct answer a A patient with fluctuating levels of awareness, confusion, and disturbed orientation shouts, Bugs are crawling on my legs. Get them off! Which problem is the patient experiencing? a. Aphasia c. Tactile hallucinations b. Dystonia d. Mnemonic disturbance - Correct answer c
A patient with fluctuating levels of consciousness, disturbed orientation, and perceptual alteration begs, Someone get these bugs off me. What is the nurses best response? a. No bugs are on your legs. You are having hallucinations. b. I will have someone stay here and brush off the bugs for you. c. Try to relax. The crawling sensation will go away sooner if you can relax. d. I dont see any bugs, but I can tell you are frightened. I will stay with you. - Correct answer d What is the priority nursing diagnosis for a patient with fluctuating levels of consciousness, disturbed orientation, and visual and tactile hallucinations? a. Risk for injury related to altered cerebral function, fluctuating levels of consciousness, disturbed orientation, and misperception of the environment b. Bathing/hygiene self-care deficit related to cerebral dysfunction, as evidenced by confusion and inability to perform personal hygiene tasks c. Disturbed thought processes related to medication intoxication, as evidenced by confusion, disorientation, and hallucinations
Light the room brightly day and night. Awaken the patient hourly to assess mental status. d. Keep the patient by the nurses desk while awake. Provide rest periods in a room with a television on. - Correct answer a Which assessment finding would be likely for a patient experiencing a hallucination? The patient: a. looks at shadows on a wall and says, I see scary faces. b. states, I feel bugs crawling on my legs and biting me. c. reports telepathic messages from the television. d. speaks in rhymes. - Correct answer b Consider these health problems: Lewy body disease, frontal-temporal lobar degeneration, and Huntingtons disease. Which term unifies these problems? a. Cyclothymia c. Delirium
b. Dementia d. Amnesia - Correct answer b Which medication prescribed to patients diagnosed with Alzheimers disease antagonizes N-Methyl-D-Aspartate (NMDA) channels rather than cholinesterase? a. Donepezil (Aricept) c. Memantine (Namenda) b. Rivastigmine (Exelon) d. Galantamine (Razadyne - Correct answer c An older adult was stopped by police for driving through a red light. When asked for a drivers license, the adult hands the police officer a pair of sunglasses. What sign of dementia is evident? a. Aphasia c. Agnosia
